# AMANDA SUSAN ZIMMERMANN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1043740384
- **Gender:** F
- **Credential:** DC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC-04695 | OH | Yes |

## Other

- **Enumeration date:** 06/19/2017
- **Last updated:** 09/28/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DC-04695 | LICENSE NUMBER | OH |
